Tehran University of Medical Sciences Frontiers in Emergency Medicine 2717-3593 8 1 2024 01 28 e10 e10 EN Meltem Kaba Department of Pediatric Surgery, Sisli Hamidiye Etfal Training and Research Hospital, İstanbul, Turkey. 2023 10 12 2024 01 04  As a pediatric surgeon, I have read your case titled "Giant megacolon caused by anterior displacement of the anus in a 71-Year-old woman" (1) with great interest. I would like to extend my congratulations to the authors and editors for this successful article and offer some contributions. There is limited information in the literature about the long-term follow-up of patients with an anteriorly located anus. This case appears to be the oldest patient in the literature to be diagnosed with this anomaly and to have had the longest follow-up. In this respect, the case holds significant value. https://fem.tums.ac.ir/index.php/fem/article/view/1284 https://fem.tums.ac.ir/index.php/fem/article/download/1284/465